- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01491724
The Learning Curve of Probe-based Confocal Laser Endomicroscopy (pCLE) Images Interpretation in Gastric Intestinal Metaplasia (GIM)
The Learning Curve of Probe-based Confocal Laser Endomicroscopy (pCLE) Images Interpretation in Gastric Intestinal Metaplasia(GIM)
The Learning Curve of Probe-based Confocal Laser Endomicroscopy (pCLE) images interpretation in Gastric Intestinal Metaplasia (GIM)
Objective:
The aim of this study is to evaluate the learning curve of pCLE images interpretation in GIM.
Research design:
Blinded review of pCLE images for the diagnosis of GIM
Sample size:
Five beginner endoscopists will be assigned in this study to read approximately 80 videoclips
Data analysis:
ROC curve is analyzed by SPSS version 16.
Expected Benefit and Clinical Application Information on the learning curve for GIM interpretation from pCLE images in order to develop early gastric cancer detection
Study Overview
Status
Conditions
Detailed Description
Background and Rationale:
Gastric cancer remains the second leading cause of cancer related death in the world. The incidence and mortality rate is predominant in East Asia[1]. Usually, gastric cancer is asymptomatic in early stage; therefore, most patients are in the advanced stage and incurable at diagnosis. The pathogenesis of intestinal type gastric cancer is sequential and multistep pathway. Gastric intestinal metaplasia (GIM) is the precancerous lesion for intestinal type gastric cancer[2]. The strategies which can detect precancerous and/or early cancerous transformation are very beneficial because only early gastric cancer can potentially be cured by endoscopic treatment. Probe-based confocal laser endomicroscope or pCLE is useful for GIM detection with 94% in sensitivity[3]. However, this perfect sensitivity in pCLE interpretation is provided in only expertise. We still do not know how to be an expert in GIM interpretation. No study about learning curve in GIM interpretation by pCLE published
Observation and Measurement:
Collect the accuracy in GIM interpretation from pCLE reported in ROC curve
Methodology:
- Six inexperienced pCLE readers were recruited.
- All inexperienced pCLE readers must attend the learning session.
- Self-review from CD is recommended for all inexperienced pCLE readers
- Two-week interval for examination in GIM interpretation from 20 new histology-proved pCLE images (GIM and normal mucosa) for 5 sessions are on schedule after training session.
- All Inexperienced pCLE readers need to review the training CD at least a day before each examination.
- The accuracy rate in each examination will be recorded individually for each inexperienced pCLE reader.
- ROC curve is reported for learning curve in GIM interpretation from pCLE images.
Data collection:
All data will be processed and recorded by one physician.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Rapat Pittayanon, MD
- Phone Number: 66813132112
- Email: rapat125@gmail.com
Study Contact Backup
- Name: Nuttaphat Namjud, M.Sc.
- Phone Number: 66894971957
- Email: ampere_nut@hotmail.com
Study Locations
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Bangkok, Thailand, 10330
- Recruiting
- Rapat Pittayanon
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Contact:
- Rapat Pittayanon, MD
- Phone Number: 66813132112
- Email: rapat125@gmail.com
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Contact:
- Nuttapaht Namjud, M.Sc
- Phone Number: 66894971957
- Email: ampere_nut@hotmail.com
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Sub-Investigator:
- Rungsun Rerknimitr, Professor
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Principal Investigator:
- Rapat Pittayanon, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- First year fellow of gastroenterologist who never have the experienced in pCLE interpretation.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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pCLE images
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change of accuracy of pCLE images interpretation in GIM after each examination
Time Frame: Baseline and every 2 weeks for 4 sessions
|
Percentage of accuracy changing in each examination
|
Baseline and every 2 weeks for 4 sessions
|
Collaborators and Investigators
Investigators
- Study Director: Rungsun Rerknimitr, Professor, King Chulalongkorn Memorial Hospital
- Principal Investigator: Rapat Pittayanon, MD, King Chulalongkron Memorial Hospital
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RP001
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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